MUNCY VALLEY HOSPITAL (NPI# 1134374671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134374671 |
| Entity Type | Organization |
| Organization Name | MUNCY VALLEY HOSPITAL |
| Other Organization Name | MUNCY VALLEY HOSPITAL SKILLED NURSING FACILITY |
| Practice Address |
215 E Water St Muncy PA 17756-8828 |
| Practice Telephone | 5705464040 |
| Practice Fax Number | 5703268601 |
| Mailing Telephone | 5705464040 |
| Mailing Fax Number | 5703268601 |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2008-11-25 |
| Authorized Official Name | MR. CHARLES J SANTANGELO (EXECUTIVE VICE PRESIDENT CFO) |
| Authorized Official Telephone | 5703213171 |
| Authorized Official Credential | CPA FHFMA |
| Is Organization Subpart | Y |
| Parent Organization Name | MUNCY VALLEY HOSPITAL |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
134302 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007607800001 | 05 |
| Other Name | Type Code |
|---|---|
| Muncy Valley Hospital Skilled Nursing Facility | Other Name - Individual/Organization |
| Street Address |
215 E WATER ST |
| City | MUNCY |
| State | PA |
| Zip Code | 17756-8828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909602 | Mollie Elizabeth Sullivan | Speech-Language Pathologist | 215 E Water St, Muncy, PA 17756-8828 | 2020-07-08 |
| 1265084982 | Dwight Heller | Occupational Therapist | 215 E Water St, Muncy, PA 17756-8828 | 2019-07-12 |
| 1598317224 | Vickie Lynne Dgien | Physical Therapist | 215 E Water St, Muncy, PA 17756-8828 | 2019-07-12 |
| 1790337426 | Valerie Jean Wohlfert-white | Physical Therapy Assistant | 215 E Water St, Muncy, PA 17756-8828 | 2019-07-12 |
| 1861044653 | Amy Louise Vandermark | Physical Therapist | 215 E Water St, Muncy, PA 17756-8828 | 2019-07-11 |
| 1225680309 | Debra A Morin | Physical Therapist | 215 E Water St, Muncy, PA 17756-8828 | 2019-07-10 |
| 1619461829 | Meghan Sarik | Occupational Therapist | 215 E Water St, Muncy, PA 17756-8828 | 2018-06-20 |
| 1265940100 | Jennifer Nicole Mccloskey | Occupational Therapy Assistant | 215 E Water St, Muncy, PA 17756-8828 | 2018-01-12 |
| 1225556558 | Tracy Haskins | Speech-Language Pathologist | 215 E Water St, Muncy, PA 17756-8828 | 2017-09-07 |
| 1396273579 | Danielle Joy Sommers | Speech-Language Pathologist | 215 E Water St, Muncy, PA 17756-8828 | 2017-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558830653 | Jeff Minor | Pharmacist | 1271 E Penn St, Muncy, PA 17756 | 2018-11-19 |
| 1730661422 | Erika E Mabus Od PC | Optometrist | 2214 Pa-405, Muncy, PA 17756 | 2018-08-30 |
| 1649672833 | Bethany Lauren Stroup | Occupational Therapist | 215 E. Water St., Genesis Rehabilitation Services, Susquehanna Health, Muncy, PA 17756 | 2014-09-19 |
| 1861826430 | Brian D Shiptoski | Nurse Practitioner | 6454 Rt 405 Hwy, Sci-muncy, Muncy, PA 17756 | 2013-08-30 |
| 1770741894 | Families United Network Inc | Foster Care Agency | 276 Ashler Manor Drive, Pennsdale, PA 17756 | 2008-05-27 |
| 1578674826 | Harrison Gooderham Mccormick | Social Worker | 1881 Bitler Hill Road, Muncy, PA 17756 | 2006-08-31 |
| 1316908742 | Anita Nagpal | Physician Assistant | 604 Fox Hollow Circle, Muncy, PA 17756 | 2006-03-28 |
| 1578546685 | Hamptons Chiropractic Inc | Chiropractor | 2848 Route 405 Highway, Muncy, PA 17756 | 2005-11-22 |
| 1699111229 | Rose A. Trevouledes | Dietitian, Registered | 10 Shady Lane, Suite 202, Muncy, PA 17756 | 2013-05-22 |
| 1083615538 | Melinda A Mckee | Chiropractor | 18 N Washington St, Muncy, PA 17756-1111 | 2005-08-09 |
| Find all providers in zip 17756 | ||||
| Taxonomy Code | 332BN1400X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Nursing Facility Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598787590 | Upmc Muncy | Durable Medical Equipment & Medical Supplies | 215 E Water St, Muncy, PA 17756-8828 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366901092 | Premier Home Medical Equipment Services, Inc | Durable Medical Equipment & Medical Supplies | 3070 Mccann Farm Dr Ste 104, Garnet Valley, PA 19060-2131 | 2019-03-12 |
| 1326555905 | Vekiel Logistics & Medical Resources Company | Durable Medical Equipment & Medical Supplies | 1900 Market St Fl 8, Philadelphia, PA 19103-3527 | 2018-01-04 |
| 1164944641 | Millbourne Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 6786 Market St Ste 101, Upper Darby, PA 19082-2431 | 2017-07-17 |
| 1437477429 | Westgate Hills Snf LLC | Durable Medical Equipment & Medical Supplies | 2050 Old Chester Pike, Havertown, PA 19083-2712 | 2010-05-14 |
| 1184958308 | The Hearthside Snf LLC | Durable Medical Equipment & Medical Supplies | 450 Waupelani Dr, State College, PA 16801-4516 | 2009-09-21 |
| 1770734162 | Karen Elizabeth Shiffert | Durable Medical Equipment & Medical Supplies | 1035 Indian Dr, Auburn, PA 17922-9219 | 2008-10-04 |
| 1699977769 | Feta Med, Inc. | Durable Medical Equipment & Medical Supplies | 530 S Henderson Rd Ste D, King of Prussia, PA 19406-4211 | 2007-06-01 |
| 1437128139 | Pennsylvania Ltc Inc | Durable Medical Equipment & Medical Supplies | 100 Lynwood Ave, Scranton, PA 18505-2868 | 2006-03-15 |
| 1790757607 | County of York | Durable Medical Equipment & Medical Supplies | 118 Pleasant Acres Rd, York, PA 17402-8975 | 2006-02-03 |
| 1801872320 | Pennsylvania Ltc Inc | Durable Medical Equipment & Medical Supplies | 146 Edge Hill Rd, Glenside, PA 19038-3004 | 2005-12-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.